Skip to main content
SpringerLink
Log in
Book cover

Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves pp 147–161Cite as

Vertebral Augmentation: 7 Years Experience

  • Chapter
  • First Online:

Part of the book series: Acta Neurochirurgica Supplementum ((NEUROCHIRURGICA,volume 108))

Abstract

Percutaneous vertebroplasty and kyphoplasty are procedures used to treat pain associated with vertebral compression fractures. Controversies are still open regarding indications, efficacy and safety of the procedures, and regarding the potential benefits, advantages and shortcomings of PV versus KP.

Aim of this article is to report 7 years’ experience in vertebral augmentation of the E.VE.RES.T. (European VErtebroplasty RESearch Team) group. The main topics are the treatments of hemangioma and malignant lesions, technically challenging cases such as vertebra plana, multifragmented fractures, multilevel treatments, refracture of augmented vertebra, and treatment of cervical junction and sacrum.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Galibert P, Deramond H, Rosat P, Le Gars D (1987) Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie 33(2):166–168

    PubMed  CAS  Google Scholar 

  2. Practice Guideline for the Performance of Percutaneous Vertebroplasty. ACR Practice Guidelines 2000 (Res. 14), 2004 (Res.25)

    Google Scholar 

  3. Lieberman IH, Dudney S, Reinhardt MK, Bell G (2001) Initial outcome and efficacy of kyphoplasty in the treatment of vertebral osteoporotic compression fractures. Spine 26:1631–1638

    Article  PubMed  CAS  Google Scholar 

  4. Fox M, Onofrio B. (1993) The natural history and management of symptomatic and asymptomatic vertebral hemangiomas. J Neurosurg. 78:36–45

    Article  PubMed  CAS  Google Scholar 

  5. Acosta FL, Christopher FD (2006) Current strategies and outcomes in management of symptomatic vertebral hemangiomas. Neurosurgery 58:287–295

    Article  PubMed  Google Scholar 

  6. Manfrè L, et al. (2002) La vertebroplastica nelle neoplasie del rachide. Riv Neuroradiol 15:461–472

    Google Scholar 

  7. Bas T, Aparisi F, Bas JL (2001) Efficacy and safety of ethanol injections in 18 cases of vertebral hemangioma. A mean follow up of 2 years. Spine 14:1577–1582

    Article  Google Scholar 

  8. Brunot S,Berge J, Barreau X, Ménégon P and Dousset V (2005) Long term clinical follow up of vertebral hemangiomas treated by percutaneous vertebroplasty. J Radiol 86:41–47

    Article  PubMed  CAS  Google Scholar 

  9. Weill A, Chiras J, Simon JM, Rose M, Sola-Martinez T, Enkaoua E (1996) Spinal metastases: indications for and results of percutaneous injection of acrylic surgical cement. Radiology 199:241–247

    PubMed  CAS  Google Scholar 

  10. Theodorou DJ (2001) The intravertebral vacuum cleft sign. Radiology 21:787–788

    Article  Google Scholar 

  11. Baur A, Stabler A, Arbogast S (2002) Acute osteoporotic and neoplastic vertebral compression fractures: fluid sign at MR imaging. Radiology 225:730–735

    Article  PubMed  Google Scholar 

  12. Maldague BE, Noel HM, Malghem JJ (1978) The intravertebral vacuumcleft: a sign of ischemic vertebral collapse. Radiology129:23–29

    PubMed  CAS  Google Scholar 

  13. Lane JI, Maus TP, Wald JT, Thielen KR, Bobra S, Luetmer PH (2002) Intravertebral clefts opacified during vertebroplasty: pathogenesis, technical implications, and prognostic significance. Am J Neuroradiol 23:1642–1646

    PubMed  Google Scholar 

  14. Malghem J, Maldague B, Labaisse MA, et al. (1993) Intravertebral vacuumcleft: changes in content after supine positioning. Radiology 187:483–487

    PubMed  CAS  Google Scholar 

  15. McKiernan F, Jensen R, Faciszewski T (2003) The dynamic mobility of vertebral compression fractures. J Bone Min Res 18:24–29

    Article  Google Scholar 

  16. Hiwatashia A, Moritania T, Numaguchia Y, Westessona PL (2003) Increase in vertebral body height after vertebroplasty. Am J Neuroradiol 24:185–189

    Google Scholar 

  17. Teng MMH, Wei C-J, Wei L-C, Luo C-B, Lirng J-F, Chang F-C, Liu C-L, Chang C-Y (2003) Kyphosis correction and height restoration effects of percutaneous vertebroplasty. Am J Neuroradiol 24:1893–1900

    PubMed  Google Scholar 

  18. Yu C-W, Hsu C-Y, Shih TT-F, Chen B-B, Fu C-J (2007) Vertebral osteonecrosis: MR imaging findings and related changes on adjacent levels. Am J Neuroradiol 28:42–47

    Article  PubMed  Google Scholar 

  19. Kobayashi N, Numaguchi Y, Fuwa S, Uemura A, Matsusaco M, Okajima Y, Ishiyama M, Takahashi O (2009) Prophylactic vertebroplasty: cement injection into non fractured vertebral bodies during percutaneous vertebroplasty. Acad Radiol 16:136–143

    Article  PubMed  Google Scholar 

  20. Ippolito E, Farsetti P, Tudisco C (1984) Vertebra plana. Long-term follow-up in five patients. J Bone Joint Surg Am 66:1364–1368

    PubMed  CAS  Google Scholar 

  21. Peh WC, et al. (2002) Percutaneous vertebroplasty for severe osteoporotic vertebral body compression fractures. Radiology 223:121–126

    Article  PubMed  Google Scholar 

  22. Ehteshami Rad A, Gray LA, Kallmes DF (2008) Significance and targeting of small, central clefts in severe fractures treated with vertebroplasty. Am J Neuroradiol 29:1285–1287

    Article  PubMed  Google Scholar 

  23. Gangi A, Guth S, Imbert JP, Marin H, Dietemann JL (2003) Percutaneous vertebroplasty: indications, technique, and results. Radiographics 23(2):e10

    Article  PubMed  Google Scholar 

  24. Kallmes DF, Jensen ME (2003) Percutaneous vertebroplasty. Radiology 229(1):27–36

    Article  PubMed  Google Scholar 

  25. McGraw JK, Cardella J, Barr JD, et al. (2003) Society of Interventional Radiology quality improvement guidelines for percutaneous vertebroplasty. J Vasc Interv Radiol 14:311–315

    Article  Google Scholar 

  26. Peh WC, Gilula LA (2003) Percutaneous vertebroplasty: indications, contraindications, and technique. Br J Radiol 76(901):69–75

    Article  PubMed  CAS  Google Scholar 

  27. Wagner AL, Baskurt E (2006) Refracture with cement extrusion following percutaneous vertebroplasty of a large interbody cleft. Am J Neuroradiol 27:230–231

    PubMed  CAS  Google Scholar 

  28. Gaughen JR, Jensen ME, Schweickert PA, Marx WF, Kallmes DF (2002) The therapeutic benefit of repeat percutaneous vertebroplasty at previously treated vertebral levels. Am J Neuroradiol 23:1657–1661

    PubMed  Google Scholar 

  29. Carpeggiani P (2007) Refracture of augmented vertebrae: causes, consequences and management. Interven Neuroradiol 13(Suppl. 2):184–185

    Google Scholar 

  30. Lewis G (1997) Properties of acrylic bone cement: state of the art review. J Biomed Mater Res 38:155–182

    Article  PubMed  CAS  Google Scholar 

  31. Huang K-Y, Yan J-J, Lin R-M (2005) Histopathologic findings of retrieved specimens of vertebroplasty with polymethylmethacrylate cement: case control study. Spine 30:E585–E588

    Article  PubMed  Google Scholar 

  32. Lin C-C, Chen I-H, Yen P-S, Chen D-C, Hsu S-H, Kwong S-T, Chiu C-H (2008) Repeat percutaneous vertebroplasty at cemented vertebra with fluid sign and recurrent pain. Interv Neuroradiol 14(Suppl. 2):85–90

    PubMed  Google Scholar 

  33. Gilula L (2003) Is insufficient use of polymethylmethacrylate a cause for vertebroplasty failure necessitating repeat vertebroplasty? AJNR 24:2120–2121 (Letters)

    PubMed  Google Scholar 

  34. Molloy S, Riley III LH, Belkoff SM (2005) Effect of cement volume and placement on mechanical-property restoration resulting from vertebroplasty. Am J Neuroradiol 26:401–440

    PubMed  Google Scholar 

  35. Shapiro SA, Snyder W (1997) Spinal instrumentation with a low complication rate. Surg Neurol 48(6):566–574

    Article  PubMed  CAS  Google Scholar 

  36. Zavanone M, Guerra P, Rampini P, Crotti F, Vaccari U (1991) Traumatic fractures of the craniovertebral junction. Management of 23 cases. J Neurosurg Sci 35(1):17–22

    PubMed  CAS  Google Scholar 

  37. Huegli RW, Schaeren S, Jacob AL, Martin JB, Wetzel SG (2005) Percutaneous cervical vertebroplasty in a multifunctional image-guided therapy suite: hybrid lateral approach to C1 and C4 under CT and fluoroscopic guidance. Cardiovasc Intervent Radiol 28(5):649–652

    Article  PubMed  CAS  Google Scholar 

  38. Wetzel SG, Martin JB, Somon T, Wilhelm K, Rufenacht DA (2002) Painful osteolytic metastasis of the atlas: treatment with percutaneous vertebroplasty. Spine 27(22):E493–E495

    Article  PubMed  Google Scholar 

  39. Blake SP, et al. (2004) Sacral insufficiency fracture. Br J Radiol 77:891–896

    Article  PubMed  CAS  Google Scholar 

  40. Brook AL, Mirtsky DM, Bello JA (2005) Computerized Tomography Guided Sacroplasty: a practical treatment for sacral insufficiency fracture: case report. Spine 30:450–454

    Article  Google Scholar 

  41. Manfrè L, et al. (2004) New vertebroplastic procedures: besides the vertebral body. Neuroradiology 46:77

    Google Scholar 

  42. Pommershei W, et al. (2003) Sacroplasty: a treatment for sacral insufficiency fractures. Am J Neuroradiol 24:1003–1007

    Google Scholar 

  43. Callstrom MR, Charboneau JW (2007) Image-guided palliation of painful metastases using percutaneous ablation. Tech Vasc Interv Radiol 10:120–131

    Article  PubMed  Google Scholar 

  44. Simon CJ, Dupuy DE (2006) Percutaneous minimally invasive therapies in the treatment of bone tumours: thermal ablation. Semin Musculoskelet Radiol 10:137–144

    Article  PubMed  Google Scholar 

  45. Schaefer O, Lohrmann C, Markmiller M, Uhrmeister P, Langer M (2003) Technical innovation. Combined treatment of a spinal metastasis with radiofrequency heat ablation and vertebroplasty. AJR Am J Roentgenol 180:1075–1077

    PubMed  Google Scholar 

  46. Callstrom MR, Atwell TD, Charboneau JW, et al. (2006) Painful metastases involving bone: percutaneous image-guided cryoablation-prospective trial interim analysis. Radiology 241:572–580

    Article  PubMed  Google Scholar 

  47. Geogy BA, Wong W (2007). Plasma-mediated radiofrequency ablation assisted percutaneous cement injection for treating advanced malignant vertebral compression fractures. Am J Neuroradiol 28:700–705

    Google Scholar 

Download references

Conflict of interest statementWe declare that we have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Radiology, IRCC Candiolo, Torino, Italy

    Giovanni Carlo Anselmetti

  2. Department of Neuroradiology, Ospedali Riuniti, Bergamo, Italy

    Giuseppe Bonaldi

  3. Department of Neuroradiology, NOCSE, Modena, Italy

    Paolo Carpeggiani

  4. Department of Neuroradiology, AO “Cannizzaro”, Catania, Italy

    Luigi Manfrè

  5. Department of Radiology, Ospedale Tor Vergata, Rome, Italy

    Salvatore Masala

  6. Department Of Neuroradiology, AORN Cardarelli, Naples, Italy

    Mario Muto

Authors
  1. Giovanni Carlo Anselmetti
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Giuseppe Bonaldi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Paolo Carpeggiani
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Luigi Manfrè
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Salvatore Masala
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Mario Muto
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Paolo Carpeggiani .

Editor information

Editors and Affiliations

  1. Istituto per lo studio e la cura delle, mallettie del sistema nervoso perif., European Neurosurgical Institut, Via Ghirada 2, Treviso, 31100, Italy

    Alberto Alexandre

  2. University of Planalto Central and South, School of Medicine, SCN Qd 05 Bl. A Sala 912, Brazil, Brazil

    Marcos Masini

  3. Florence and Rome University, Via Jacopo Nardi 15, Florence, 50132, Italy

    Pier Paolo Maria Menchetti

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag/Wien

About this chapter

Cite this chapter

Anselmetti, G.C., Bonaldi, G., Carpeggiani, P., Manfrè, L., Masala, S., Muto, M. (2011). Vertebral Augmentation: 7 Years Experience. In: Alexandre, A., Masini, M., Menchetti, P. (eds) Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves. Acta Neurochirurgica Supplementum, vol 108. Springer, Vienna. https://doi.org/10.1007/978-3-211-99370-5_23

Download citation

  • DOI: https://doi.org/10.1007/978-3-211-99370-5_23

  • Published:

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-99369-9

  • Online ISBN: 978-3-211-99370-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation